TNAG-0354-FCO40-390-Legislation-for-immigration-and-deportation-in-Hong-Kong-1972 — Page 95

t

NOW

the said

*

18

of'

of

; and

hereby acknowledges/acknowledge that he/they severally will

pay to the Crown the following sum/sums

the said

the sum of $

* the said

* the said

if the said

following condition(s) :-

the sum of $

the sum of $

fails to comply with the

Signed by

the said

* the said

* the said

on the

day of

19

in the presence of

* Delete where inapplicable.

-Signature.